Studies evaluated for inclusion in the meta-analysis (adapted from PRISMA Statement flow diagram []).* Until 16 March 2014.† From key articles in the field and contact with the authors ().‡ Exclusion criteria included records unrelated to the association between subclinical thyroid dysfunction and fractures or studies without prospective design and thyroid measurement.§ For list of excluded full-text articles, see the (available at www.annals.org).